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Bunion care

Philip J York, Frank B Wydra, Kenneth J Hunt
PURPOSE OF REVIEW: Injuries to the great toe are common in athletes. While most are managed nonoperatively and allow return to sports activity, some great toe injuries are highly problematic and can impact function. The purpose of this review is to highlight several specific injuries and disease processes involving the hallux and to detail current recommendations and management options in order to help raise suspicion for injuries that can result in long-term dysfunction. RECENT FINDINGS: Toe injuries have been found to represent nearly 10% of injuries presenting to fracture clinics...
March 2017: Current Reviews in Musculoskeletal Medicine
O Laffenêtre, B Millet-Barbé, V Darcel, J Lucas Y Hernandez, D Chauveaux
INTRODUCTION: Bunionette consists in a lateral prominence of the head of the fifth metatarsal (M5), inducing a callus. Toe malpositioning determines the varus, supraductus or infraductus form. HYPOTHESIS: A percutaneous method without osteosynthesis was assessed in 38 patients suffering from this pathology. PATIENTS AND METHODS: A continuous single-operator multicenter series operated on between May 2005 and January 2012 was analyzed with mean follow-up of 34 months...
April 2015: Orthopaedics & Traumatology, Surgery & Research: OTSR
James C Willey, Lainee S Reuter, Daniel A Belatti, Phinit Phisitkul, Ned Amendola
BACKGROUND: Today, insurance insulates most patients from the true costs of the health care services they consume. Economists believe that the absence of price signals incentivizes patients to pursue more extensive care than they would otherwise. Reformers propose restoring price consciousness to patients as a way to tame the soaring costs of American health care. To test this idea, we decided to gauge the availability and variability of price quotes for a common elective surgery-bunion repair...
December 2014: Foot & Ankle International
Lawrence DiDomenico, Erigena Baze, Nikolay Gatalyak
Correction of the fifth digit deformity and Tailor's Bunion can be rewarding as well as challenging for a foot and ankle surgeon. Immense care should be taken when performing these reconstructive surgical procedure, especially to avoid and minimize complication rates and mainly to prevent neurovascular damage. Appropriate surgical procedure selection for the fifth digit deformity and Tailor's Bunion is necessary in order to obtain a long term predictable outcome.
July 2013: Clinics in Podiatric Medicine and Surgery
Sumaira Malik, Nauman Chaudary
SESSION TYPE: Airway Student/Resident Case Report PostersPRESENTED ON: Tuesday, October 23, 2012 at 01:30 PM - 02:30 PMINTRODUCTION: Joint disease affecting adults with Cystic Fibrosis (CF) may present as episodic arthritis and/or hypertrophic pulmonary osteoarthropathy (HPOA). Gout is rarely reported in adults with CF. We report an adult CF patient who presented to us with Podagra.CASE PRESENTATION: A thirty year old white man with CF presented with severe pain in left big toe and redness for one week. He denied trauma to left foot...
October 1, 2012: Chest
Heino Arnold
No abstract text is available yet for this article.
February 21, 2013: MMW Fortschritte der Medizin
Lan Chen, Stephen Lyman, Huong Do, Jon Karlsson, Stephanie P Adam, Elizabeth Young, Jonathan T Deland, Scott J Ellis
BACKGROUND: Patient-reported outcome questionnaires such as the Foot and Ankle Outcome Score (FAOS) are useful in evaluating results after orthopedic interventions. However, despite being frequently used in the literature, its validity has not been established for forefoot disorders. Our study aimed to validate the FAOS for use in assessing outcomes of hallux valgus surgery. METHODS: From 2006 to 2009, 195 patients with nonarthritic hallux valgus were included in the construct validity portion of the study...
December 2012: Foot & Ankle International
Hazibullah Waizy, Gavin Olender, Farhad Mansouri, Thilo Floerkemeier, Christina Stukenborg-Colsman
Bunionette, or tailor's bunion, is a painful protrusion on the plantar and/or lateral aspect of the fifth metatarsal head. Until recently, there have been very good results reported in literature when minimally invasive therapy is used to treat this deformity. In this study, the authors critically review the outcome of patients operated by the minimal invasive technique. A total of 31 feet were retrospectively reviewed with a mean follow-up of 52 months (range 14-106 months). The results were related to the preoperative severity of the bunionette deformity...
April 2012: Foot & Ankle Specialist
Jerry M Fabrikant, Justin Colarco
Many procedures have been identified to correct hallux abducto valgus deformity of the foot. Due to surgical skill level, complexity, and risk of complications, more procedures have been defined for distal than proximal correction. The senior author has used an alternative proximal procedure to correct larger hallux abducto valgus deformities, which may prove to be as effective as traditional procedures. The purpose of this study was to examine the short-term clinical and radiographic results of the proximal wedge shelf osteotomy and evaluate its potential as a satisfactory option for correction of larger bunion deformities...
February 2012: Foot & Ankle Specialist
Guido R Zanni, Jeannette Y Wick
Foot problems are common in elders, stemming from age-related podiatric mechanical problems or disease-induced pathology. Common mechanical problems include hammertoe, arthritis, bunions, and metatarsalgia. Disease-induced conditions include onychomycosis, athlete's foot, plantar warts, gout, and diabetes. Treatment is case-specific and often involves multiple interventions, including lifestyle changes. Prevention and treatment strategies are presented. Patient education on proper foot care is effective.When patients are unable to reach or see their feet, staff assumes responsibility for foot care...
December 2011: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
M N Magin
PROBLEM: A Hallux valgus (bunion) is a complex deformity caused by a dysbalance of the static and dynamic elements of the foot. Thus, the aim of an anatomical reconstruction is to normalize the physiological angle between the first and second metatarsal and to realign the balance of periarticular soft tissues. Modern surgical techniques should allow for very early weight-bearing and, at the same time, make immobilizing casts or other devices unnecessary. SOLUTION: The Stoffella metatarsal I osteotomy is a technique which meets the requirements of statical and dynamic balance in combination with immediate full weight-bearing...
April 2011: Operative Orthopädie und Traumatologie
Benjamin Brownell
While performing a distal first metatarsal bunion correction, care is always taken to stabilize the capital fragment during relocation and until fixation is completed. The underlying concern is that one false move could cause the capital fragment to end up on the floor. There are articles relating what surgeons have done when this has happened, but there is no evidence-based literature relating to guidelines or policy for decontaminating dropped bone. This case study relates what happened to me after saying, "Can you pick that up for me please?"...
March 2011: Journal of the American Podiatric Medical Association
Ronald Belczyk, John J Stapleton, Jordan P Grossman, Thomas Zgonis
Complications with hallux valgus surgery can manifest in a variety of ways, but ultimately preventing them depends on the surgeon's expertise in patient and procedural selection, ability to perform the surgery selected, and knowledge in dealing with postoperative care and complications if present. In this article, the authors discuss common diagnostic and treatment dilemmas when dealing with recurrent hallux valgus, hallux varus, malunion, and avascular necrosis following bunion surgery.
July 2009: Clinics in Podiatric Medicine and Surgery
Jill Ferrari
INTRODUCTION: Bunions are prominent and often inflamed metatarsal heads and overlying bursae, usually associated with hallux valgus where the great toe moves towards the second toe. Hallux valgus is found in at least 2% of children aged 9-10 years, and almost half of adults, with greater prevalence in women. METHODS AND OUTCOMES: We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of conservative treatments, surgery, and postoperative care for bunions? We searched: Medline, Embase, The Cochrane Library, and other important databases up to May 2008 (Clinical Evidence reviews are updated periodically, please check our website for the most up-to-date version of this review)...
March 11, 2009: Clinical Evidence
Michael Gabel
OBJECTIVE: Surgical treatment of hallux valgus deformity with a distal osteotomy of the first metatarsal to address an increased intermetatarsal angle (IMA) I-II. This procedure is combined with a soft-tissue procedure at the first metatarsophalangeal joint: realignment of the first ray, lateral displacement of the first metatarsal head above the sesamoids, rebalancing of the soft tissues at the metatarsophalangeal joint. INDICATIONS: Pain and soft-tissue inflammation at the bunion, impaired function of the metatarsophalangeal joint, and lateral deviation of the hallux...
December 2008: Operative Orthopädie und Traumatologie
Kathryn Kitson
As theatre practitioners we are on our feet for long periods of time. How many of us can truthfully say that we treat our feet with the respect that they deserve, for example, wearing the correct footwear and generally taking good care of our feet? It is established that theatre clogs, while practical, are not a fashion statement. Most of us probably take our feet for granted--that is until something becomes painful or a deformity occurs. One common and often painful deformity of the foot is a bunion. This article describes how bunions occur and explores the surgical options...
July 2007: Journal of Perioperative Practice
Kathryn O'Connor, Gwynne Bragdon, Judith F Baumhauer
Lower extremity musculoskeletal injuries are extremely common. Sports-related sex differences, in addition to osteoporosis issues, have raised the level of social awareness that women's health care issues may be different than those of their male counterparts. Traditional research investigation for the foot and ankle is focused on shoe style differences and the effect that these shoes have had on foot pain and injury (eg, bunion, lesser toe malalignment). In addition to the extrinsic factor of footwear, intrinsic factors, such as foot structure, ligamentous laxity, muscle strength, and proprioception, predispose individuals to injury...
October 2006: Orthopedic Clinics of North America
Neil M Paige, Aksone Nouvong
Foot and ankle problems are common complaints of patients presenting to primary care physicians. These problems range from minor disorders, such as ankle sprains, plantar fasciitis, bunions, and iIngrown toenails, to more serious conditions such as Charcot arthropathy and Achilles tendon rupture. Early recognition and treatment of foot and ankle problems are imperative to avoid associated morbidities. Primary care physicians can address many of these complaints successfully but should be cognizant of which patients should be referred to a foot and ankle specialist to prevent common short-term and long-term complications...
June 2006: Mayo Clinic Proceedings
Jill Ferrari
No abstract text is available yet for this article.
June 2004: Clinical Evidence
Jill Ferrari
No abstract text is available yet for this article.
December 2003: Clinical Evidence
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